A temperature sensing device for remotely detecting the temperature of a subject having an identifying feature and a target zone in a fixed relationship to the identifying feature comprising: a distance sensor which measures the distance between the subject and the distance sensor; a temperature sensor for measuring a temperature difference in a sensing zone; a digital image capture device for capturing a digital image of the subject; a means of tilting at least the temperature sensor along at least one axis, and preferably tilting and panning along two axes; a controller that actuates the tilting means; and a support for supporting the distance sensor, the temperature sensor and the digital image capture device; wherein the controller tilts the distance sensor using the tilting means to reduce the distance between the target zone and the sensing zone; and a temperature sensor that measures a temperature difference proximate to the target zone, to detect elevated temperature illness in humans or animals.